Kevin Mark Correia in Beaumont - Clinical
Kevin Mark Correia - NPI 1194718650
Kevin Mark Correia is a Clinical in Beaumont, Texas. Kevin Mark Correia practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kevin Mark Correia is 1194718650. The last update date is 2022-04-25.
Kevin Mark Correia's current location address is 8155 Gladys Ave, Beaumont, Texas. You can contact this provider via phone number 4098604007 and fax number 4098601762. The mailing address for Kevin Mark Correia is 8155 Gladys Ave, Beaumont, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Mark Correia |
|---|---|
| Address | 8155 Gladys Ave, Beaumont, Texas |
| Phone Number | 4098604007 |
| Fax Number | 4098601762 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1194718650 |
|---|---|
| Provider Enumeration Date | 2005-08-30 |
| Last Updated Date | 2022-04-25 |
Provider Mailing Address Detail
| Address | 8155 Gladys Ave |
|---|---|
| City | Beaumont |
| State | Texas (TX) |
| Post Code | 777063243 |
| Phone Number | 4098604007 |
| Fax Number | 4098601762 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 31520 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0051GZ | TX | BLUE CROSS/BLUE SHIELD | |
| 7473360 | TX | AETNA | |
| 305188 | TX | CHAMPUS | |
| 1507170-01 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kevin Mark Correia by the Centers for Medicare & Medicaid Services?
The Kevin Mark Correia has been assigned the NPI (National Provider Identifier) 1194718650. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kevin Mark Correia located?
The Kevin Mark Correia is located at 8155 Gladys Ave, Beaumont, TX 777063243.
What is the area of specialization for Kevin Mark Correia, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kevin Mark Correia is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When did the Kevin Mark Correia receive its 1194718650?
The Kevin Mark Correia was issued its 1194718650 on 2005-08-30, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Kevin Mark Correia, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kevin Mark Correia, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-04-25.
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